Evidence map›Paper›PMID 39346117›Full record

ArticleTherapeutic advances in medical oncology2024

Safety of dostarlimab in combination with chemotherapy in patients with primary advanced or recurrent endometrial cancer in a phase III, randomized, placebo-controlled trial (ENGOT-EN6-NSGO/GOG-3031/RUBY).

Annika Auranen, Matthew A Powell, Vladyslav Sukhin, Lisa M Landrum, Graziana Ronzino, Joseph Buscema, Dirk Bauerschlag, Roy Lalisang, David Bender, Lucy Gilbert and 19 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03981796 (A Phase 3, Randomized, Double-blind, Multicenter Study of Dostarlimab), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03981796 phase3active not recruitingnot on this map

A Phase 3, Randomized, Double-blind, Multicenter Study of Dostarlimab (TSR-042) Plus Carboplatin-paclitaxel Versus Placebo Plus Carboplatin-paclitaxel in Patients With Recurrent or Primary Advanced Endometrial Cancer (RUBY)

TypeinterventionalSponsorTesaro, Inc.Ran2019 to 2026Enrolled785ConditionsNeoplasmsArmsDostarlimab, Placebo matching dostarlimab, Carboplatin, Paclitaxel, Niraparib
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Annika AuranenTays Cancer Centre and FICAN Mid, Tampere University and Tampere University Hospital, Pirkanmaa Hospital District, FM3 2.krs. Biokatu 10, Tampere 33900, Finland.
Matthew A PowellNational Cancer Institute Sponsored NRG Oncology, Washington University School of Medicine, St Louis, MO, USA.
Vladyslav SukhinGrigoriev Institute for Medical Radiology and Oncology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine.
Lisa M LandrumIndiana University Health and Simon Cancer Center, Indianapolis, IN, USA.
Graziana RonzinoDepartment of Oncology, Ospedale "Vito Fazzi," Lecce, Italy.
Joseph BuscemaGynecologic Oncology, Arizona Oncology, Tucson, AZ, USA.
Dirk BauerschlagUniversity Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Roy LalisangDepartment of Internal Medicine, Maastricht UMC Comprehensive Cancer Center, GROW-School of Oncology and Reproduction, Maastricht University Medical Center, Maastricht, The Netherlands.
David BenderDepartment of Obstetrics and Gynecology, University of Iowa, Iowa City, IA, USA.
Lucy GilbertDivision of Gynecologic Oncology, Gerald Bronfman Department of Oncology, Research Institute-McGill University Health Centre, McGill University, Montreal, QC, Canada.
Amy ArmstrongDivision of Gynecologic Oncology, University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center, Cleveland, OH, USA.
Tamar SafraDepartment of Oncology, Tel Aviv Sourasky Medical Center, and Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nicole NevadunskyDepartment of Obstetrics, Gynecology, and Women's Health, Montefiore Medical Center, Bronx, NY, USA.
Alexandra SebastianelliCHU de Québec-Université Laval, Québec, QC, Canada.
Brian SlomovitzDepartment of Gynecologic Oncology, Mount Sinai Medical Center, and Department of Obstetrics and Gynecology, Florida International University, Miami Beach, FL, USA.
Kari RingUniversity of Virginia Health System, Charlottesville, VA, USA.
Robert ColemanTexas Oncology, US Oncology Network, The Woodlands, TX, USA.
Iwona PodzielinskiDepartment of Gynecologic Oncology, Parkview Health, Fort Wayne, IN, USA.
Ashley StuckeyWomen and Infants Hospital of Rhode Island, Providence, RI, USA.
Michael TenerielloUS Oncology Research, The Woodlands, TX, USA.
Sarah GillSt. Joseph's/Candler Gynecologic Oncology and Surgical Specialists, Candler Hospital, Savannah, GA, USA.
Bhavana PothuriGOG Foundation and Departments of Obstetrics/Gynecology and Medicine, Division of Gynecologic Oncology, Laura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, NY, USA.
Lyndsay WillmottArizona Oncology, Phoenix, AZ, USA.
Sudarshan SharmaDepartment of Obstetrics/Gynecology, AMITA Health Adventist Medical Center, Hinsdale, IL, USA.
Christine DabrowskiGSK, Collegeville, PA, USA.
Grace AntonyGSK, London, UK.
Shadi StevensGSK, London, UK.
Mansoor Raza MirzaRigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Evelyn FlemingDivision of Gynecologic Oncology, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In Part 1 of the phase III RUBY trial (NCT03981796) in patients with primary advanced or recurrent endometrial cancer (EC), dostarlimab plus carboplatin-paclitaxel (CP) significantly improved progression-free survival and overall survival compared with CP alone. Limited safety data have been reported for the combination of immunotherapies plus chemotherapy in this setting. Objectives: The objective of this analysis was to identify the occurrence of treatment-related adverse events (TRAEs) and immune-related adverse events (irAEs) and to describe irAE management in Part 1 of the RUBY trial. Design: RUBY is a phase III, randomized, double-blind, multicenter study of dostarlimab plus CP compared with CP alone in patients with primary advanced or recurrent EC. Methods: Patients were randomized 1:1 to dostarlimab 500 mg, or placebo, plus CP every 3 weeks for 6 cycles, followed by dostarlimab 1000 mg, or placebo, every 6 weeks for up to 3 years. Adverse events (AEs) were assessed according to Common Terminology Criteria for Adverse Events, version 4.03. Results: The safety population included 487 patients who received ⩾1 dose of treatment (241 dostarlimab plus CP; 246 placebo plus CP). Treatment-emergent AEs were experienced by 100% of patients in both arms. TRAEs occurred in 97.9% of the dostarlimab arm and 98.8% of the placebo arm.The most common TRAEs occurred at similar rates between arms and were mostly low grade. IrAEs occurred in 58.5% of patients in the dostarlimab arm and 37.0% of patients in the placebo arm. Dostarlimab- or placebo-related irAEs were reported in 40.7% of patients in the dostarlimab arm and 16.3% of the placebo arm. Conclusion: The safety profile of dostarlimab plus CP was generally consistent with that of the individual components. Dostarlimab plus CP has a favorable benefit-risk profile and is a new standard of care for patients with primary advanced or recurrent EC. Trial registration: NCT03981796.

Indexed as

dostarlimabdostarlimab plus chemotherapyendometrial cancerimmune checkpoint inhibitorsafety

Identifiers

PMID39346117
PMCPMC11439170

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.